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MARBLEHEAD PEDIATRICS
NPI 1386794584
Pediatrics in Marblehead, MA

Active since January 11, 2007CLIA 22D0073219 · Waiver
70 ATLANTIC AVE, MARBLEHEAD, MA 01945(781) 631-7800(781) 631-4319 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marblehead Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARBLEHEAD PEDIATRICS (NPI 1386794584) is a healthcare organization registered as a pediatrics in Marblehead, Massachusetts and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Lisa A Gast, President, as its authorized official.

NPPES Registry Identity

NPI1386794584
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMARBLEHEAD PEDIATRICS
Location Address70 ATLANTIC AVEMarblehead, MA 01945-3042
Mailing Address70 Atlantic AveMarblehead, MA 01945-3042 · (781) 631-7800 · Fax (781) 631-4319
Phone(781) 631-7800
Fax(781) 631-4319
Organization SubpartNo
Authorized OfficialLisa A GastPresident · (781) 631-7800
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1386794584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
70 ATLANTIC AVE, Marblehead, MA 01945
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Other Identifiers 2

Medicaid9718338MA
Medicaid110068239MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0073219

Marblehead Pediatrics · Marblehead, MA
Active · expires Jan 26, 2028
CLIA Number22D0073219
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorLisa A. Gast
Laboratory Phone(781) 631-7800
Laboratory LocationMarblehead Pediatrics70 Atlantic Avenue, Marblehead, MA 01945
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL EMILY SCHULTZE
Social Worker (Clinical)
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 307-0098
ALEXANDRA R PROCH
Counselor
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 307-0098
LISA A GAST DO
Pediatrics
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 631-7800
PHILOMENA A ASANTE M.D.
Pediatrics
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 631-7800
SARAH K O'CONNOR DO
Pediatrics
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 631-7800
RICHARD MICHAEL MILLER MD
Pediatrics
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 631-7800
DR. DANIEL YANG SHEN MD
Pediatrics
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 631-7800
GERALDINE A YUHAS N.P.
Nurse Practitioner (Pediatrics)
70 ATLANTIC AVE
MARBLEHEAD, MA 01945
Essex County (781) 631-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marblehead Pediatrics's NPI number?

The NPI number for Marblehead Pediatrics is 1386794584. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Marblehead Pediatrics located?

Marblehead Pediatrics is located at 70 Atlantic Ave, Marblehead, MA 01945. The listed phone number is (781) 631-7800.

What is Marblehead Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Marblehead Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0073219) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marblehead Pediatrics accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Marblehead Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marblehead Pediatrics was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.